Provider Demographics
NPI:1457608457
Name:SNYDER, GRETCHEN DARLENE (MSPC, LPC, NCC)
Entity type:Individual
Prefix:MISS
First Name:GRETCHEN
Middle Name:DARLENE
Last Name:SNYDER
Suffix:
Gender:
Credentials:MSPC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 E CAMELBACK RD STE 766
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4288
Mailing Address - Country:US
Mailing Address - Phone:314-591-8960
Mailing Address - Fax:
Practice Address - Street 1:2415 E CAMELBACK RD STE 766
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4288
Practice Address - Country:US
Practice Address - Phone:602-382-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23783101YP2500X
AZ2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant